LAURA BOONE PA (Credential# 742336) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
LAURA BOONE PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000587. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 123 Rolling Green, Middletown, CT 06457. The current status is active.
| Licensee Name | LAURA BOONE PA |
| Credential ID | 742336 |
| Credential Number | 23.000587 |
| Credential Type | Physician Assistant |
| Business Address |
123 Rolling Green Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1996-07-19 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 228547 | CSP.0029087 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-12-16 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 123 ROLLING GREEN |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas V Gocke IIi | 162 Algonquin Drive, Boone, NC 28607 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Laura K Lok Pa | 6 Wood Creek Rd, Burlington, CT 06013 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Laura Jeanblanc | 21 Chatfield Dr, Lakeville, CT 06039 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Laura M Kielb Pa-c | 26 Bartlett Ct, Wilbraham, MA 01095-1705 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Laura D Wilk Pa | 539 Smithtown Ave, Bohemia, NY 11716 | Physician Assistant | 2007-10-03 ~ 2008-10-31 |
| Laura C Kozol | 97 Avonridge, Avon, CT 06001 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Laura M Smith | 20 York St, New Haven, CT 06510-3220 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Laura M Grillo | 379 Main St, South Windsor, CT 06074-3910 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Laura Troidle | Metabolism Assocs, New Haven, CT 06510 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Laura Reidy | 32 Churchill Road, Newtown, CT 06470 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on LAURA BOONE PA.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).